In chapter six titled "Year Of The Trial Size Dove Bar" Pg 37, the narative jumps to a honestly a bad free association with African American Vernacular English AAVE. In which two characters one of which being the half sister of this child. Is informed that she is being beaten by her mother, and molested by her mother's boyfriend. Its pretty overt nothing graphically told but it's triggered me for sure. So I Thought I'd let other people know the contents of this book.
Much of the book takes place in a substance abuse institution, which probably counts as a mental institution. There are other scenes in other types of psychiatric wards.
Arguable -- none of the characters specifically suffer from dysmorphia, but some characters are physically grotesque and their descriptions may be triggering.
In an early scene, a character is paralyzed by anxiety while waiting for a person to arrive, and the stream-of-consciousness style of the section may feel anxious to some readers.